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Remember that your doctor has prescribed tramadol this medication because he or she has judged that the benefit to you is greater than the risk of side effects . More info: Tell your doctor about all other medications you use, especially: cyclosporine (Gengraf, Neoral, Sandimmune); tramadol for dogs cough tramadol hydrochloride orodispersible tablets tramadol overdose and death St . Do not start tramadol a new medication without telling your doctor . If you notice other effects not tramadol listed above, contact your doctor or pharmacist . These lists are not complete and there are many other medicines that can increase or decrease the effects of Prandin on tramadol lowering your blood sugar . Consuming large quantities of alcohol, not getting enough calories from food, or doing <font color=“#0033CC“ size=“5″>tramadol</font> unusually heavy exercise may also lead to low blood sugar . 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